Compare the Outcomes of Zone II Flexor Tendon Repair of the Hand Under General Anesthesia Versus WALANT

Inclusion Criteria: * Acute zone II flexor tendon injuries of the hand in both genders in medial four fingers. * Cooperative patients aged between 16-60 years. * Sharp mechanism of injury * Single level injury Exclusion Criteria: * Age less than sixteen years old or more than sixty years old . * Associated fractures close to the tendon injury. * Vascular injury requiring revascularization * Multiple level injury * Combined flexor and extensor laceration * Insufficient skin and soft tissue coverage * Tendon substance loss